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July 1983

Supratentorial, Suboccipital, Subdural Hematoma

Author Affiliations

From the Departments of Radiology, Albert Einstein Medical Center (Drs Swayne and Garfinkle) and Temple University Medical Center (Dr Garfinkle), Philadelphia.

Arch Neurol. 1983;40(7):454-455. doi:10.1001/archneur.1983.04050070084026

We present a rare case of supratentorial, suboccipital, subdural hematoma. A literature search revealed only one previous article describing this entity. Conventional axial transverse computed tomographic (CT) findings must be understood in order that the correct diagnosis might be suspected in such cases, and the diagnostic CT scans obtained.

REPORT OF A CASE  A 70-year-old woman was found obtunded and brought to the emergency room. Her medical history included diabetes mellitus and a pulmonary embolus, for which she had been receiving heparin sodium and warfarin sodium for one year. A neurologic examination revealed obtusion with minimal left-sided movement. The patient was admitted to the intensive care unit and intubated. The next day, she required assisted ventilation. A CT scan, done without injection of intravenous contrast material, disclosed a large, sharply marginated, homogeneous area of increased density in the region of the right tentorial leaf (Fig 1), with anterior extension

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